Provider Demographics
NPI:1194759795
Name:VELEZ, MILITZA (MS - SLP)
Entity type:Individual
Prefix:
First Name:MILITZA
Middle Name:
Last Name:VELEZ
Suffix:
Gender:F
Credentials:MS - SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 PARQ SAN ANTONIO
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-5907
Mailing Address - Country:US
Mailing Address - Phone:787-258-2134
Mailing Address - Fax:
Practice Address - Street 1:URB. PARADIS APT. 1-B
Practice Address - Street 2:AVE. JOSE VILLARES
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-747-0790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1194759795235Z00000X
PR619235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist